silverbridgefinancials.uhcsrinternational.com
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65.210.198.206
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URL:
https://silverbridgefinancials.uhcsrinternational.com/
Submission: On July 19 via api from US — Scanned from DE
Submission: On July 19 via api from US — Scanned from DE
Form analysis 4 forms found in the DOM
Name: conLogin — POST /Student/SignIn
<form action="/Student/SignIn" method="post" name="conLogin" id="conLogin" class="unauth-header-section" style="">
<fieldset class="border-0">
<legend class="sr-only">Student login form</legend><label class="sr-only" id="email-label">Student Email</label><input type="email" aria-label="student email" aria-labeledby="email-label" class="email" name="Email" id="email"
placeholder="Email address:">
<br>
<label class="sr-only" id="password-label">Student Password</label><input type="password" aria-label="student password" aria-labeledby="password-label" class="password" name="Password" id="password" placeholder="Password:">
<table role="presentation">
<tbody>
<tr>
<td class="middle left">
<a href="/Student/ResetPassword" class="forgot-password-link">Forgot Password?</a>
</td>
<td class="middle right">
<button class="btn login-btn cta-btn">Sign In</button>
<input type="hidden" name="action" value="students">
<input type="hidden" name="action_mode" value="student_login">
</td>
</tr>
</tbody>
</table>
</fieldset>
</form><form class="m-auto py-10 lg:px-4" style="max-width: 1080px;">
<fieldset class="border-0">
<legend class="sr-only">Purchase Insurance</legend>
<div class="text-red mb-3 text-2xl" style="display: none;"> <!----></div>
<div class="text-red mb-3 text-2xl" style="display: none;"></div>
<div class="text-red mb-3 text-2xl" style="display: none;"><svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="exclamation-circle" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512"
class="svg-inline--fa fa-exclamation-circle fa-w-16">
<path fill="currentColor"
d="M504 256c0 136.997-111.043 248-248 248S8 392.997 8 256C8 119.083 119.043 8 256 8s248 111.083 248 248zm-248 50c-25.405 0-46 20.595-46 46s20.595 46 46 46 46-20.595 46-46-20.595-46-46-46zm-43.673-165.346l7.418 136c.347 6.364 5.609 11.346 11.982 11.346h48.546c6.373 0 11.635-4.982 11.982-11.346l7.418-136c.375-6.874-5.098-12.654-11.982-12.654h-63.383c-6.884 0-12.356 5.78-11.981 12.654z"
class=""></path>
</svg> No plans are avaiable for this school. Contact <a href="/page/customer-service">customer service</a> for more detail. </div>
<div class="text-red mb-3 text-2xl" style="display: none;"> Please <a href="/dashboard">log in to your account</a> to see if you are eligible for this coverage. </div>
<div class="lg:flex lg:mb-8 lg:-mx-4">
<div class="px-4 lg:w-1/4 mb-6 lg:mb-0"><label class="label-tertiary font-normal"> Student Date of Birth <span class="text-lg text-grey-darker">(MM/DD/YYYY)</span> <i class="text-danger">*</i> <span class="text-red" style="display: none;"><svg
aria-hidden="true" focusable="false" data-prefix="fas" data-icon="exclamation-circle" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-exclamation-circle fa-w-16">
<path fill="currentColor"
d="M504 256c0 136.997-111.043 248-248 248S8 392.997 8 256C8 119.083 119.043 8 256 8s248 111.083 248 248zm-248 50c-25.405 0-46 20.595-46 46s20.595 46 46 46 46-20.595 46-46-20.595-46-46-46zm-43.673-165.346l7.418 136c.347 6.364 5.609 11.346 11.982 11.346h48.546c6.373 0 11.635-4.982 11.982-11.346l7.418-136c.375-6.874-5.098-12.654-11.982-12.654h-63.383c-6.884 0-12.356 5.78-11.981 12.654z"
class=""></path>
</svg></span></label>
<div class="relative"><input type="text" placeholder="Enter Date of Birth" class="tw-input tw-input-text"> <svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="calendar-alt" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 448 512" class="absolute pin-r pin-middle mr-4 text-primary pointer-events-none svg-inline--fa fa-calendar-alt fa-w-14 fa-lg">
<path fill="currentColor"
d="M148 288h-40c-6.6 0-12-5.4-12-12v-40c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12zm108-12v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 96v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm192 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96-260v352c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V112c0-26.5 21.5-48 48-48h48V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h128V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h48c26.5 0 48 21.5 48 48zm-48 346V160H48v298c0 3.3 2.7 6 6 6h340c3.3 0 6-2.7 6-6z"
class=""></path>
</svg></div>
</div>
<div class="px-4 lg:w-1/4 mb-6 lg:mb-0"><label for="school" class="label-tertiary font-normal"> School/Organization <i class="text-danger">*</i> <span class="text-red" style="display: none;"><svg aria-hidden="true" focusable="false"
data-prefix="fas" data-icon="exclamation-circle" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-exclamation-circle fa-w-16">
<path fill="currentColor"
d="M504 256c0 136.997-111.043 248-248 248S8 392.997 8 256C8 119.083 119.043 8 256 8s248 111.083 248 248zm-248 50c-25.405 0-46 20.595-46 46s20.595 46 46 46 46-20.595 46-46-20.595-46-46-46zm-43.673-165.346l7.418 136c.347 6.364 5.609 11.346 11.982 11.346h48.546c6.373 0 11.635-4.982 11.982-11.346l7.418-136c.375-6.874-5.098-12.654-11.982-12.654h-63.383c-6.884 0-12.356 5.78-11.981 12.654z"
class=""></path>
</svg>
</span></label>
<div class="relative p-0 text-primary bg-white">
<div><input type="text" placeholder="Enter School/Organization" maxlength="200" title="" class="tw-input tw-input-text text-overflow-ellipsis pr-10"> <svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="text-primary h-6 absolute pin-r pin-middle mr-4 pointer-events-none svg-inline--fa fa-caret-down fa-w-10 fa-lg">
<path fill="currentColor" d="M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z" class=""></path>
</svg></div>
<div class="w-full"><span style="display: none;">
<div class="popper solid static">
<div class="p-6 bg-primary">
<div class="mb-4 font-bold text-white">Or find by:</div>
<div class="mb-4">
<div class="relative p-0 text-primary">
<div unselectable="on" title="Location" tabindex="0" class="flex p-4 content-center justify-between leading-input bg-white text-overflow-ellipsis whitespace-no-wrap text-grey-dark border border-primary hover:cursor-pointer">
<span class="mr-2 text-overflow-ellipsis">Location</span> <svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512"
class="text-primary h-6 pointer-events-none svg-inline--fa fa-caret-down fa-w-10 fa-lg">
<path fill="currentColor" d="M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z" class=""></path>
</svg></div>
<div class="absolute w-full border pt-0 bg-white border-primary border-t-0 font-bold z-10" style="display: none;">
<hr class="border mx-3 my-0 border-primary">
<div class="max-h-dropdown overflow-y-auto"><!---->
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option"><!---->
<div class="px-4 py-3">National</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Alabama</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Alaska</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Arizona</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Arkansas</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">California</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Colorado</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Connecticut</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Delaware</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">District of Columbia</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Florida</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Georgia</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Hawaii</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Idaho</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Illinois</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Indiana</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Iowa</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Kansas</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Kentucky</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Louisiana</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Maine</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Maryland</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Massachusetts</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Michigan</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Minnesota</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Mississippi</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Missouri</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Montana</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Nebraska</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Nevada</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">New Hampshire</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">New Jersey</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">New Mexico</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">New York</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">North Carolina</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">North Dakota</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Ohio</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Oklahoma</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Oregon</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Pennsylvania</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Rhode Island</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">South Carolina</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">South Dakota</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Tennessee</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Texas</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Utah</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Vermont</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Virginia</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Washington</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">West Virginia</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Wisconsin</div>
</div>
</div>
<div tabindex="-1">
<div class="hover:bg-primary hover:text-white hover:cursor-pointer select-list-option">
<hr class="border mx-3 my-0">
<div class="px-4 py-3">Wyoming</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-4">
<div class="relative p-0 text-primary">
<div unselectable="on" title="School/Organization" class="flex p-4 content-center justify-between leading-input bg-white text-overflow-ellipsis whitespace-no-wrap text-grey-dark border border-primary opacity-50"><span
class="mr-2 text-overflow-ellipsis">School/Organization</span> <svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512"
class="text-primary h-6 pointer-events-none svg-inline--fa fa-caret-down fa-w-10 fa-lg">
<path fill="currentColor" d="M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z" class=""></path>
</svg></div>
<div class="absolute w-full border pt-0 bg-white border-primary border-t-0 font-bold z-10" style="display: none;">
<hr class="border mx-3 my-0 border-primary">
<div class="max-h-dropdown overflow-y-auto"><!----> </div>
</div>
</div>
</div>
</div>
</div>
</span>
<div class="absolute min-w-full border pt-0 bg-white border-primary border-t-0 font-bold z-10" style="display: none;">
<hr class="border my-0 border-primary">
<div class="max-h-dropdown overflow-y-auto">
<div></div>
<div>
<div class="font-bold text-primary px-4 py-3 center"> Start by typing a name </div>
</div> <!---->
</div>
</div>
</div>
</div>
</div>
<div class="px-4 lg:w-1/4 mb-6 lg:mb-0"><label for="studentCategory" class="label-tertiary font-normal"> Student Category <i class="text-danger">*</i> <span class="text-red" style="display: none;"><svg aria-hidden="true" focusable="false"
data-prefix="fas" data-icon="exclamation-circle" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" class="svg-inline--fa fa-exclamation-circle fa-w-16">
<path fill="currentColor"
d="M504 256c0 136.997-111.043 248-248 248S8 392.997 8 256C8 119.083 119.043 8 256 8s248 111.083 248 248zm-248 50c-25.405 0-46 20.595-46 46s20.595 46 46 46 46-20.595 46-46-20.595-46-46-46zm-43.673-165.346l7.418 136c.347 6.364 5.609 11.346 11.982 11.346h48.546c6.373 0 11.635-4.982 11.982-11.346l7.418-136c.375-6.874-5.098-12.654-11.982-12.654h-63.383c-6.884 0-12.356 5.78-11.981 12.654z"
class=""></path>
</svg>
</span></label>
<div class="relative p-0 text-primary">
<div unselectable="on" title="Choose option" tabindex="0" class="flex p-4 content-center justify-between leading-input bg-white text-overflow-ellipsis whitespace-no-wrap text-grey-dark border border-primary hover:cursor-pointer"><span
class="mr-2 text-overflow-ellipsis">Choose option</span> <svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512"
class="text-primary h-6 pointer-events-none svg-inline--fa fa-caret-down fa-w-10 fa-lg">
<path fill="currentColor" d="M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z" class=""></path>
</svg></div>
<div class="absolute w-full border pt-0 bg-white border-primary border-t-0 font-bold z-10" style="display: none;">
<hr class="border mx-3 my-0 border-primary">
<div class="max-h-dropdown overflow-y-auto"><!----> </div>
</div>
</div>
</div>
<div class="px-4 lg:w-1/4 tw-hidden lg:block"><label class="block font-normal"> </label> <button aria-disabled="true" class="py-4 w-full bg-cta text-white font-bold hover:bg-cta-dark hover:cursor-pointer focus:bg-cta-dark"> Select a Plan
</button></div>
</div>
<div class="lg:flex lg:mb-8 lg:-mx-4">
<div class="px-4 lg:w-1/4 mb-8 lg:mb-0"><label class="font-bold text-secondary block font-normal"> </label>
<div class="relative">
<div><button class="p-4 bg-primary w-full font-bold text-white flex flex-row justify-between"><span>Add Dependent</span> <svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="caret-down" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="text-white h-6 pointer-events-none svg-inline--fa fa-caret-down fa-w-10 fa-lg">
<path fill="currentColor" d="M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z" class=""></path>
</svg></button>
<div class="absolute w-full border pt-0 bg-white border-secondary border-t-0 z-10" style="display: none;">
<div class="max-h-dropdown overflow-y-auto">
<div class="mb-0 flex mr-3 sm:mr-12 justify-between w-full py-4 px-6 items-center"><span class="mr-3">Spouse</span>
<div class="flex flex-col justify-between mt-px"><span tabindex="0" class="border rounded-full border-grey flex cursor-pointer w-32 sm:w-16 justify-start items-center"><span
class="rounded-full border w-14 h-14 sm:w-7 sm:h-7 border-grey shadow-inner bg-white shadow"></span></span></div>
</div>
<hr class="border-2 border-grey-lighter my-0 px-6">
<div class="mb-0 flex mr-3 sm:mr-12 justify-between w-full py-4 px-6 items-center"><span class="mr-3">Children</span>
<div class="flex items-center"><button disabled="disabled" class="rounded-full bg-primary w-14 h-14 sm:w-8 sm:h-8 flex justify-center mr-3 bg-primary-light"><span class="sr-only">0 children</span> <svg aria-hidden="true"
focusable="false" data-prefix="fas" data-icon="minus" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" class="text-white self-center svg-inline--fa fa-minus fa-w-14">
<path fill="currentColor" d="M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z" class=""></path>
</svg></button> <span class="mr-3 font-bold">0</span> <button class="rounded-full bg-primary w-14 h-14 sm:w-8 sm:h-8 flex justify-center mr-3"><span class="sr-only">0 children</span> <svg aria-hidden="true" focusable="false"
data-prefix="fas" data-icon="plus" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" class="text-white self-center svg-inline--fa fa-plus fa-w-14">
<path fill="currentColor"
d="M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z"
class=""></path>
</svg></button></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="lg:w-1/2 opacity-50">
<div class="md:flex">
<div class="md:w-1/2 px-4 mb-8 md:mb-0"><label class="label-tertiary font-normal"> Choose Start Date <i class="text-danger">*</i> <span class="text-red" style="display: none;">
</span></label>
<div class="relative"><input type="text" placeholder="Choose start date" disabled="disabled" aria-disabled="true" class="tw-input tw-input-text"> <svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="calendar-alt"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" class="absolute pin-r pin-middle mr-4 pointer-events-none text-primary svg-inline--fa fa-calendar-alt fa-w-14 fa-lg">
<path fill="currentColor"
d="M148 288h-40c-6.6 0-12-5.4-12-12v-40c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12zm108-12v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 96v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm192 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96-260v352c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V112c0-26.5 21.5-48 48-48h48V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h128V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h48c26.5 0 48 21.5 48 48zm-48 346V160H48v298c0 3.3 2.7 6 6 6h340c3.3 0 6-2.7 6-6z"
class=""></path>
</svg></div>
</div>
<div class="md:w-1/2 px-4 mb-8 md:mb-0"><label class="label-tertiary font-normal"> Choose End Date <i class="text-danger">*</i> <span class="text-red" style="display: none;">
</span></label>
<div class="relative"><input type="text" placeholder="Choose end date" disabled="disabled" aria-disabled="true" class="tw-input tw-input-text"> <svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="calendar-alt"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" class="absolute pin-r pin-middle mr-4 pointer-events-none text-primary svg-inline--fa fa-calendar-alt fa-w-14 fa-lg">
<path fill="currentColor"
d="M148 288h-40c-6.6 0-12-5.4-12-12v-40c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12zm108-12v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 96v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm-96 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm192 0v-40c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v40c0 6.6 5.4 12 12 12h40c6.6 0 12-5.4 12-12zm96-260v352c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V112c0-26.5 21.5-48 48-48h48V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h128V12c0-6.6 5.4-12 12-12h40c6.6 0 12 5.4 12 12v52h48c26.5 0 48 21.5 48 48zm-48 346V160H48v298c0 3.3 2.7 6 6 6h340c3.3 0 6-2.7 6-6z"
class=""></path>
</svg></div>
</div>
</div>
</div> <!---->
<div class="px-4 lg:w-1/3 lg:hidden"><label class="block font-normal"> </label> <button disabled="disabled" class="bg-cta-light py-4 w-full bg-cta text-white font-bold"> Purchase Insurance </button></div>
</div>
<div>
<p> If you are arriving on campus prior to the dates listed, please contact <a href="mailto:customerservice@uhcsrinternational.com">customerservice@uhcsrinternational.com</a> for assistance. </p>
</div> <!---->
</fieldset>
</form><form class="m-auto py-10 px-4" style="max-width: 1080px; display: none;">
<fieldset class="border-0">
<legend class="sr-only">Renew coverage form</legend>
<div class="text-red mb-3" style="display: none;">
</div>
<div class="flex flex-col lg:flex-row mb-6 -mx-6">
<div class="lg:w-1/3 px-6 mb-6 lg:mb-2">
<div><label for="login.Email" class="block font-normal"><span class="font-bold text-secondary">Email Address <i class="text-danger">*</i></span> <span id="err_login.Email" role="alert" class="text-red" style="display: none;">
</span></label> <input type="email" id="login.Email" name="login.Email" aria-describedby="err_login.Email" placeholder="Enter Email Address" class="tw-input tw-input-text"></div>
</div>
<div class="lg:w-1/3 px-6">
<div><label for="login.Password" class="block font-normal"><span class="sr-only"> Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number, special character (!@#$%) </span> <span
class="font-bold text-secondary mr-3">Password <i class="text-danger">*</i></span> <a href="/student/resetpassword" class="underline" data-underline="1">Forgot Password?<span class="underline"></span></a> <span id="err_login.Password"
role="alert" class="text-red" style="display: none;">
</span></label> <input type="password" id="login.Password" name="login.Password" aria-describedby="err_login.Password" placeholder="Enter Password" class="tw-input tw-input-text"></div>
</div>
<div class="lg:hidden lg:w-2/3 px-6 pt-6"><span class="font-bold text-secondary">Password Requirements:</span> <span class="italic"> Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number,
special character (!@#$%) </span></div>
<div class="lg:w-1/3 px-6"><label class="block"> </label> <button class="py-4 w-full bg-cta text-white font-bold hover:bg-cta-dark focus:bg-cta-dark">Sign In</button></div>
</div>
<div class="tw-hidden lg:block md:w-2/3"><span class="font-bold text-secondary">Password Requirements:</span> <span class="italic"> Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number,
special character (!@#$%) </span></div>
</fieldset>
</form><form class="m-auto py-10 px-4" style="max-width: 1080px; display: none;">
<div class="flex -mx-8">
<div class="w-full md:w-2/3 px-8">
<fieldset class="border-0">
<legend class="sr-only">Supply an email address to continue your saved quote</legend>
<div class="flex -mx-6 mb-6 flex-col md:flex-row">
<div class="md:w-1/2 px-6">
<div><label for="quote.EmailAddress" class="block font-normal"><span class="font-bold text-secondary">Email Address <i class="text-danger">*</i></span> <span id="err_quote.EmailAddress" role="alert" class="text-red"
style="display: none;">
</span></label> <input type="email" id="quote.EmailAddress" name="quote.EmailAddress" aria-describedby="err_quote.EmailAddress" placeholder="Enter Email Address" class="tw-input tw-input-text"></div>
</div>
<div class="md:hidden w-full px-6 pt-6 italic"> We will send you a link to continue your quote. </div>
<div class="md:w-1/2 px-6"><label class="block"> </label> <button class="py-4 w-full bg-cta text-white font-bold hover:bg-cta-dark focus:bg-cta-dark">Send Link</button></div>
<div class="md:hidden px-6 pt-6 italic"> Already have an account? <a>Login</a></div>
</div>
<div class="tw-hidden md:block italic"> We will send you a link to continue your quote. </div>
</fieldset>
</div>
<div class="tw-hidden md:block md:w-1/3 px-8 border-l-2 border-tertiary">
<fieldset class="border-0">
<legend class="sr-only">Login to continue a saved quote</legend>
<div class="text-tertiary font-bold mb-4"> Already have an account? </div>
<div class="mb-4">
<div><label for="login.Email" class="block font-normal"> <span id="err_login.Email" role="alert" class="text-red" style="display: none;">
</span></label> <input type="email" id="login.Email" name="login.Email" aria-describedby="err_login.Email" placeholder="Enter Email Address" class="tw-input tw-input-text"></div>
</div>
<div class="mb-4">
<div><label for="login.Password" class="block font-normal"> <span id="err_login.Password" role="alert" class="text-red" style="display: none;">
</span></label> <input type="password" id="login.Password" name="login.Password" aria-describedby="err_login.Password" placeholder="Enter Password" class="tw-input tw-input-text"></div>
</div> <button class="py-4 w-full bg-cta text-white font-bold hover:bg-cta-dark focus:bg-cta-dark">Sign In</button>
</fieldset>
</div>
</div>
</form>Text Content
skip to main content * Customer Service * Call: 1-888-251-6253 * Student Tools * My Account * Find a Doctor, Hospital or Lab * Forms * Claims Center * Customer Service Center * Additional Services * Travel Assistance, Evacuation & Repatriation * Virtual Medical Care * Virtual Mental Health Care * Student Assist * Browse Plans * Student Login Student login formStudent Email Student Password Forgot Password? Sign In My Account SILVER BRIDGE STUDENT PROGRAM HEALTH PLANS FOR INTERNATIONAL STUDENTS STUDYING IN THE U.S. Active tabPurchase a New Plan tabRenew Plan tabContinue With Purchase Purchase Insurance No plans are avaiable for this school. Contact customer service for more detail. Please log in to your account to see if you are eligible for this coverage. Student Date of Birth (MM/DD/YYYY) * School/Organization * Or find by: Location -------------------------------------------------------------------------------- National -------------------------------------------------------------------------------- Alabama -------------------------------------------------------------------------------- Alaska -------------------------------------------------------------------------------- Arizona -------------------------------------------------------------------------------- Arkansas -------------------------------------------------------------------------------- California -------------------------------------------------------------------------------- Colorado -------------------------------------------------------------------------------- Connecticut -------------------------------------------------------------------------------- Delaware -------------------------------------------------------------------------------- District of Columbia -------------------------------------------------------------------------------- Florida -------------------------------------------------------------------------------- Georgia -------------------------------------------------------------------------------- Hawaii -------------------------------------------------------------------------------- Idaho -------------------------------------------------------------------------------- Illinois -------------------------------------------------------------------------------- Indiana -------------------------------------------------------------------------------- Iowa -------------------------------------------------------------------------------- Kansas -------------------------------------------------------------------------------- Kentucky -------------------------------------------------------------------------------- Louisiana -------------------------------------------------------------------------------- Maine -------------------------------------------------------------------------------- Maryland -------------------------------------------------------------------------------- Massachusetts -------------------------------------------------------------------------------- Michigan -------------------------------------------------------------------------------- Minnesota -------------------------------------------------------------------------------- Mississippi -------------------------------------------------------------------------------- Missouri -------------------------------------------------------------------------------- Montana -------------------------------------------------------------------------------- Nebraska -------------------------------------------------------------------------------- Nevada -------------------------------------------------------------------------------- New Hampshire -------------------------------------------------------------------------------- New Jersey -------------------------------------------------------------------------------- New Mexico -------------------------------------------------------------------------------- New York -------------------------------------------------------------------------------- North Carolina -------------------------------------------------------------------------------- North Dakota -------------------------------------------------------------------------------- Ohio -------------------------------------------------------------------------------- Oklahoma -------------------------------------------------------------------------------- Oregon -------------------------------------------------------------------------------- Pennsylvania -------------------------------------------------------------------------------- Rhode Island -------------------------------------------------------------------------------- South Carolina -------------------------------------------------------------------------------- South Dakota -------------------------------------------------------------------------------- Tennessee -------------------------------------------------------------------------------- Texas -------------------------------------------------------------------------------- Utah -------------------------------------------------------------------------------- Vermont -------------------------------------------------------------------------------- Virginia -------------------------------------------------------------------------------- Washington -------------------------------------------------------------------------------- West Virginia -------------------------------------------------------------------------------- Wisconsin -------------------------------------------------------------------------------- Wyoming School/Organization -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Start by typing a name Student Category * Choose option -------------------------------------------------------------------------------- Select a Plan Add Dependent Spouse -------------------------------------------------------------------------------- Children 0 children 0 0 children Choose Start Date * Choose End Date * Purchase Insurance If you are arriving on campus prior to the dates listed, please contact customerservice@uhcsrinternational.com for assistance. Renew coverage form Email Address * Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number, special character (!@#$%) Password * Forgot Password? Password Requirements: Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number, special character (!@#$%) Sign In Password Requirements: Minimum of 6 characters and at least 1 of each of the following: uppercase letter, lowercase letter, number, special character (!@#$%) Supply an email address to continue your saved quote Email Address * We will send you a link to continue your quote. Send Link Already have an account? Login We will send you a link to continue your quote. Login to continue a saved quote Already have an account? Sign In Loading WITH SILVER BRIDGE STUDENT PROGRAM, STUDENTS STUDYING AROUND THE WORLD CAN HAVE PEACE OF MIND THAT THEIR HEALTH INSURANCE NEEDS ARE MET. Whether you are studying internationally or in the US, Silver Bridge Student Program is your partner in quality healthcare. Our plans are designed specifically for the global student and their unique needs. With that in mind, Silver Bridge Student Program offers you comprehensive and competitively priced Plans that meet all visa requirements. Our packages include travel assistance (including medical evacuation and repatriation), discount dental and vision programs, 24/7 access to HealthiestYou, and easy access to important health information. LET US BE YOUR PARTNER IN GOOD HEALTH. QUICK LINKS * My Account * Contact Us * Forms LEGAL * Privacy Policy * Terms of Use * Privacy Notice * H&W Indemnity (SPC), Ltd. for and on behalf of Student Resources SP © Copyright UnitedHealthcare, All Rights Reserved 2024